Evidence map›Paper›PMID 29415785›Full record

ArticlePrimary health care research & development2018

A risk-based intervention approach to eliminate diabetes health disparities.

Neil S Calman, Diane Hauser, Lilli Schussler, Casey Crump

Abstract read
In one paragraph

Article in Primary health care research & development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Use of ethnic identifiers to narrow health inequality gaps.The Lancet regional health. Europe · 2022
    Article
  4. Review
  5. Article
  6. Article
  7. The Impact of the Great Recession on Diabetes Management in a High-Risk Population.Journal of health care for the poor and underserved · 2020
    Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Neil S Calman1Department of Family Medicine and Community Health,Icahn School of Medicine at Mount Sinai,New York,NY,USA.
Diane Hauser1Department of Family Medicine and Community Health,Icahn School of Medicine at Mount Sinai,New York,NY,USA.
Lilli Schussler1Department of Family Medicine and Community Health,Icahn School of Medicine at Mount Sinai,New York,NY,USA.
Casey Crump1Department of Family Medicine and Community Health,Icahn School of Medicine at Mount Sinai,New York,NY,USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes plays a major role in racial/ethnic health disparities. We conducted the first study to examine whether multifaceted interventions targeting patients with poorly controlled diabetes (HgbA1c >9%) can reduce racial/ethnic disparities in diabetes control. Among 4595 patients with diabetes at a Federally Qualified Health Center in New York, a higher percentage of blacks (32%) and Hispanics/Latinos (32%) had poorly controlled diabetes than whites (25%) at baseline (prevalence ratio, 1.28; 95% CI, 1.14-1.43; P<0.001). After four years, this percentage was reduced in all groups (blacks, 21%; Hispanics/Latinos, 20%; whites, 20%; P<0.001 for each relative to baseline). Disparities in diabetes control also were significantly reduced (change in disparity relative to whites: blacks, P=0.03; Hispanics/Latinos, P=0.008). In this diverse population, interventions targeting patients with poorly controlled diabetes not only improved diabetes control in all racial/ethnic groups, but significantly reduced disparities. This approach warrants further testing and may help reduce disparities in other populations.

Indexed as

AdultAgedCohort StudiesDiabetes Mellitus, Type 2EthnicityFemaleHealthcare DisparitiesHumansMaleMiddle AgedNew YorkPregnancyProgram EvaluationRacial GroupsRisk Factorsdelivery of health carediabetes mellitushealthcare disparitieshealth status disparities

Identifiers

PMID29415785
PMCPMC6452931

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.